1194570671 NPI number — VALERIE ANN CARDONA ALVAREZ RN

Table of content: VALERIE ANN CARDONA ALVAREZ RN (NPI 1194570671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194570671 NPI number — VALERIE ANN CARDONA ALVAREZ RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALVAREZ
Provider First Name:
VALERIE ANN
Provider Middle Name:
CARDONA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194570671
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
459 PATTERSON ROAD
Provider Second Line Business Mailing Address:
VA E-WING, BLDG 1, RM 2C101D
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-433-4624
Provider Business Mailing Address Fax Number:
808-433-5016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
459 PATTERSON ROAD
Provider Second Line Business Practice Location Address:
E-WING, BLDG 1, RM 2C101D
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-4624
Provider Business Practice Location Address Fax Number:
808-433-5016
Provider Enumeration Date:
04/18/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN-53044 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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